Rep. Aarón Ortíz

Amends the Pharmacy Practice Act. Provides that the definition of "practice of pharmacy" includes the initiation, dispensing, or administration of drugs, laboratory tests, assessments, referrals, and consultations for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Provides that as applicable to the State's Medicaid program and other payers, patient care services ordered and administered by a pharmacist shall be covered and reimbursed at no less than 85% of the rate that the services are covered and reimbursed when ordered or administered by physicians. Provides that a pharmacist shall provide patient care services for human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis to a patient after satisfying specified requirements. Amends the Illinois Public Aid Code. Provides that specified provisions concerning coverage of patient care services provided by a pharmacist shall apply to all patient care services provided by a pharmacist (rather than patient care services for hormonal contraceptives assessment and consultation only). Effective immediately. House Floor Amendment No. 1 Deletes reference to: 225 ILCS 85/43 Adds reference to: 210 ILCS 25/7-101 from Ch. 111 1/2, par. 627-101 210 ILCS 25/7-102 from Ch. 111 1/2, par. 627-102 215 ILCS 5/356z.1a new 225 ILCS 85/9 from Ch. 111, par. 4129 225 ILCS 85/43.5 new Replaces everything after the enacting clause. Amends the Pharmacy Practice Act. Provides that in accordance with a standing order by a physician licensed to practice medicine in all its branches or the medical director of a county or local health department, a pharmacist may provide patients with prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Provides that a pharmacist may provide initial assessment and dispensing of prophylaxis drugs for human immunodeficiency virus pre-exposure prophylaxis or post-exposure prophylaxis. Contains requirements for the standing order. Provides that a pharmacist must communicate the services provided under the provisions to the patient and the patient's primary health care provider or other health care professional or clinic, if known. Provides that if there is no primary health care provider provided by the patient, then the pharmacist must give a list of primary health care providers or clinics in the area. Provides that a pharmacist shall complete an educational training program accredited by the Accreditation Council for Pharmacy Education or Department of Financial and Professional Regulation related to human immunodeficiency virus pre-exposure prophylaxis and human immunodeficiency virus post-exposure prophylaxis. Makes conforming and other changes. Makes corresponding changes in the Illinois Clinical Laboratory and Blood Bank Act. Amends the Illinois Insurance Code. Provides that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis medications and providing other services to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force. Provides that reimbursement shall provide an adequate consultation fee or, if medical billing is not available, an enhanced dispensing fee that is equivalent to 85% of the fees for services provided by an advanced practice registered nurse or physician. Amends the Illinois Public Aid Code. Provides that services provided by the pharmacist under the provisions concerning HIV prophylaxis in the Pharmacy Practice Act shall be covered and reimbursed at no less than 85% of the rate that the services are reimbursed when provided by a physician. Makes other changes. Effective January 1, 2023. Senate Committee Amendment No. 1 Deletes reference to: 215 ILCS 5/356z.1a new Adds reference to: 215 ILCS 5/356z.45 Provides that a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2023 shall provide coverage for health care or patient care services provided by a pharmacist if the pharmacist meets the requirements and scope of practice as set forth in provisions concerning HIV prophylaxis of the Pharmacy Practice Act (instead of a provision providing that an insurance carrier or third-party payor shall reimburse a pharmacist or other health care professional for dispensing HIV prophylaxis drugs and providing services under provisions concerning HIV prophylaxis of the Pharmacy Practice Act to a covered person in accordance with the current version of the guidelines of the Centers for Disease Control and Prevention and the United States Preventive Services Task Force).

Amends the Governor's Office of New Americans Act. Makes a technical change in a Section concerning the short title. House Floor Amendment No. 1 Deletes reference to: 15 ILCS 55/1 Adds reference to: 15 ILCS 55/5 15 ILCS 55/10 Replaces everything after the enacting clause. Amends the Governor's Office of New Americans Act. Specifies further duties of the Governor's Office of New Americans. Provides that the Governor's Office of New Americans shall also monitor completion of New Americans Plans at each State agency level. Requires each State agency under the jurisdiction of the Governor to develop a New Americans Plan that incorporates effective training and resources, ensures language access and culturally appropriate services, and includes administrative practices that reach out to and reflect the needs of the immigrant refugees. Requires each State agency under the jurisdiction of the Governor to integrate guidance and recommendations made by the Governor's Office of New Americans statewide plan. Requires each State agency to submit its New American Plan to the Governor's Office of New Americans (rather than the Governor) for approval. Makes conforming and other changes.

Amends the State Treasurer Act. Makes changes concerning the Illinois Higher Education Savings Program. Provides that the State Treasurer may make supplementary deposits to children in financially insecure households if sufficient funds are available. Provides that the State Treasurer shall annually prepare a report that includes a summary of the Program operations for the preceding fiscal year, including, among other items, the rate of seed deposits claimed, and, to the extent data is reported and available, the racial, ethnic, socioeconomic, and geographic data of beneficiaries and of children in financially insecure households who may receive automatic bonus deposits. Provides that such other information that is relevant to make a full disclosure of the operations of the Program and Fund may also be reported. Makes conforming changes.

Creates the Lake Michigan Rescue Equipment Act. Provides that the owner of a pier or drop-off on Lake Michigan shall install public rescue equipment, including, at a minimum, ring life buoys, on each of the owner's piers and drop-offs along the Lake Michigan coast. Provides that public rescue equipment shall also be installed in all high-incident drowning areas on an owner's property. Includes requirements for ring life buoys. Provides that each unit of local government owning a pier or drop-off on Lake Michigan shall track and report to the Department of Public Health, in a form prescribed by the Department, Lake Michigan lakefront drownings, both fatal and non-fatal drownings, near the unit's piers and drop-offs. Includes tracking and reporting requirements. Provides that the Department shall analyze the tracking and reporting and appropriately provide a plan and recommendations for reduction in drowning incidents. Defines terms. Effective 180 days after becoming law. House Floor Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the introduced bill with the following changes: Modifies definitions. Provides that, to reduce vandalism and theft, the rescue equipment station shall have signage (rather than an alarm, signage, and a warning of cameras) that warns lakefront patrons that tampering with or misuse of public rescue equipment is strictly prohibited. Removes provisions about automatic contacting of 9-1-1 and compliance with a specified guide. Provides that the buoyant line attached to each ring life buoy must be at least 100 feet in length (rather than 100 inches). Provides that each unit of local government owning a pier or drop-off on Lake Michigan shall track and publish a report on the unit's website lakefront drownings if such drownings occur within 100 feet of the unit's piers and drop-offs and if the unit was made aware of such drowning (rather than making a report to the Department of Public Health). Provides that, if there have been drownings during the reporting period, each unit of local government must also publish a water safety plan on the unit's website. Adds provisions relating to high-incident drowning area plans. Makes other changes. Changes the effective date from 180 days after becoming law to one year after becoming law.

Amends the Illinois Dental Practice Act. Provides that a person who uses teledentistry practices dentistry within the meaning of the Act. Provides that a dentist may utilize and delegate dental services to a dental hygienist or dental assistant using telehealth only under the supervision requirements as specified in the Act for in-person patient care. Provides that a dental assistant who has at least 2,000 hours of direct clinical patient care experience and who has completed a structured training program provided by a continuing education provider approved by the Department of Financial and Professional Regulation may perform specified procedures. Provides that a dental assistant who has completed specified training may perform coronal scaling and intracoronal temporization of a tooth under the supervision of a dentist. Changes the definition of "public health setting" to include a prison. Changes the definition of "teledentistry" to include limited patient diagnosis and treatment planning (rather than patient care) using synchronous and asynchronous communications under an Illinois licensed dentist's authority (rather than a dentist's authority). House Floor Amendment No. 2 Adds reference to: 225 ILCS 25/18 from Ch. 111, par. 2318 Replaces everything after the enacting clause with the provisions of the introduced bill, and makes the following changes: Removes changes to the definition of "teledentistry". Removes a provision that provides that a person who uses teledentistry is considered to practice dentistry under the Act. Restores a provision providing that a dental assistant who has completed training and is an expanded function dental assistant, may place, carve, and finish amalgam restorations, and place, pack, and finish composite restorations as allowed under provisions concerning acts constituting the practice of dentistry. Provides that a dental assistant who has completed training and is an expanded function dental assistant may perform coronal scaling as allowed under provisions concerning acts constituting the practice of dentistry and intracoronal temporization of a tooth. Provides that an order to a hygienist on which services are necessary to be performed on the patient who is unable to travel to a dental office shall be implemented within 30 (rather than 120) days. Provides that without the supervision of a dentist, a dental hygienist may perform dental health education functions, including instruction in proper oral health care and dental hygiene in either a school setting or a long-term care facility. Provides that a dental hygienist may record care (instead of case) histories and oral conditions observed at any time prior to a clinical exam by a dentist. Senate Committee Amendment No. 1 Replaces everything after the enacting clause with the provisions of the engrossed bill, and makes the following changes: Provides that a dental assistant who has completed training and is an expanded function dental assistant may perform coronal scaling only on patients 17 (instead of 12) years of age or younger who have an absence of periodontal disease and who are not medically compromised as allowed under provisions concerning acts constituting the practice of dentistry and intracoronal temporization of a tooth. Restores a provision that provides that coronal sealing shall only be utilized on patients who are eligible for Medicaid, who are uninsured, or whose household income is not greater than 400% (rather than 200%) of the federal poverty level. Provides that an order to a hygienist on which services are necessary to be performed on the patient who is unable to travel to a dental office shall be implemented within 45 (rather than 30) days. Senate Floor Amendment No. 2 Expands the definition of "public health setting" to include a long-term care facility. Provides that the training program for expanded functions for dental assistants or hygienists must include a minimum of 32 hours of instruction in both didactic and clinical manikin or human subject instruction (rather than a minimum of 16 hours of instruction in both didactic and clinical manikin or human subject instruction). Provides that coronal scaling performed by dental assistants shall be utilized on patients whose household income is not greater that 300% (rather than 400%) of the federal poverty level. Provides that a dental hygienist who is certified as a public health dental hygienist may provide services to patients who are uninsured and whose household income is not greater than 300% (rather than 200%) of the federal poverty level.

Amends the Mental Health and Developmental Disabilities Code. Makes a technical change in a Section concerning the definition of "care and custody". House Floor Amendment No. 1 Deletes reference to: 405 ILCS 5/1-102 Adds reference to: New Act 50 ILCS 705/6 from Ch. 85, par. 506 50 ILCS 705/6.8 new 30 ILCS 105/5.970 new Replaces everything after the enacting clause. Creates the First Responder Mental Health Grant Program Act. Provides that, subject to appropriation, there is created within the Department of Human Services a First Responder Behavioral Health Grant Program to provide grants to the following recipients: (1) units of local government; (2) law enforcement agencies; (3) fire protection districts; (4) school districts; (5) public or private hospitals; or (6) ambulance services that employ first responders. Creates a First Responder Behavioral Health Grant Fund in the State treasury, which shall be used by the Secretary of Human Services to make grants to eligible recipients. Provides that recipients eligible for grants shall use the grants for expenses related to behavioral health care services for first responders, including, but not limited to, telehealth services. Provides that an employer may not reduce behavioral health care provided through a first responder's employee benefit package as a result of the receipt of grant funds under the Act. Provides that all records, notes, and conclusions by a treatment provider providing behavioral health care to first responders whose employers receive grants under the Act shall not be shared with the employer unless otherwise mandated by law. Amends the State Finance Act to make conforming changes. Amends the Illinois Police Training Act. Replaces provisions stating that the Illinois Law Enforcement Training Standards Board has the power and duty to establish statewide standards regarding regular mental health screenings of probationary and permanent police officers with provisions giving the Board the power and duty to establish statewide minimum standards regarding: (1) psychological screenings of recruit officers hired after the standards go into effect and annual psychological screenings of probationary and permanent officers; and (2) regular, confidential mental health counseling for probationary and permanent police officers in addition to the mental health counseling related to an officer's fitness for duty examinations. Lists specific items required to be included in the standards relating to psychological screenings and mental health counseling. Provides that records of psychological screenings and mental health counseling sessions, as well as any portions of documents referencing the psychological screenings or mental health counseling sessions that contain a personally identifiable information of an officer who underwent the screening or counseling session, are exempt from disclosure under the Freedom of Information Act. House Floor Amendment No. 2 Deletes reference to: 405 ILCS 5/1-102 Adds reference to: New Act Replaces everything after the enacting clause. Creates the First Responder Mental Health Grant Program Act. Provides that, subject to appropriation, there is created within the Department of Human Services a First Responder Behavioral Health Grant Program to provide grants to the following recipients: (1) units of local government; (2) law enforcement agencies; (3) fire protection districts; (4) school districts; (5) public or private hospitals; or (6) ambulance services that employ first responders. Creates a First Responder Behavioral Health Grant Fund in the State treasury, which shall be used by the Secretary of Human Services to make grants to eligible recipients. Provides that recipients eligible for grants shall use the grants for expenses related to behavioral health care services for first responders, including, but not limited to, telehealth services. Provides that an employer may not reduce behavioral health care provided through a first responder's employee benefit package as a result of the receipt of grant funds under the Act. Provides that all records, notes, and conclusions by a treatment provider providing behavioral health care to first responders whose employers receive grants under the Act shall not be shared with the employer unless otherwise mandated by law. House Floor Amendment No. 3 Adds reference to: 30 ILCS 105/5.970 new Makes changes to the bill as amended by House Amendment No. 2 to provide that the First Responder Behavioral Health Grant Fund is a special fund in the State treasury. Adds provisions amending the State Finance Act to make conforming changes.

Amends the Unified Code of Corrections. Provides that the Department of Corrections shall enter into contracts with the Department of Human Services, the Department of Healthcare and Family Services, and any other appropriate State agencies as the Department of Corrections may direct so that those Departments or agencies may assist persons released from institutions and facilities of the Department of Corrections in obtaining the services provided by those Departments. Provides for the type of services available to released persons. Provides that at least 45 days before the scheduled discharge of a person committed to the custody of the Department of Corrections, the Department shall inform the person that those Departments shall provide that assistance. Provides that if the county or municipality of the released person's residence has established a program for reentry of persons into the community who have been committed to the Department, the Department of Corrections shall inform the person about that program. Provides that the assistance provided under this provision shall be available to the person during the term of his or her parole or mandatory supervised release. Senate Floor Amendment No. 1 Deletes reference to: 730 ILCS 5/3-14-1 Adds reference to: 720 ILCS 5/14-3 720 ILCS 5/33G-9 Replaces everything after the enacting clause. Amends the Criminal Code of 2012. Changes the sunset of the provision that exempts from an eavesdropping violation, with prior request to and written or verbal approval of the State's Attorney of the county in which the conversation is anticipated to occur, recording or listening with the aid of an eavesdropping device to a conversation in which a law enforcement officer, or any person acting at the direction of a law enforcement officer, is a party to the conversation and has consented to the conversation being intercepted or recorded in the course of an investigation of a qualified offense from January 1, 2023 to January 1, 2027. Extends the sunset of the RICO Article of the Code from June 11, 2022 to June 11, 2023. Effective immediately.

Amends the School Code. Requires a school district to offer a program to prepare students enrolled in grades 6 through 12 for a career and technical education pathway by introducing students to career exploration opportunities that allow students to explore a wide variety of high-skill, high-wage, or in-demand career fields. Sets forth what a school district shall provide in its career and technical education pathway program. Provides for rulemaking. Effective immediately. House Floor Amendment No. 2 Deletes reference to: 105 ILCS 5/10-20.73 new 105 ILCS 5/34-18.67 new Adds reference to: 105 ILCS 5/10-20.83 new 105 ILCS 5/34-18.78 new 110 ILCS 148/15 Replaces everything after the enacting clause. Amends the School Code. Requires a school district that enrolls students in any of grades 6 through 12 to adopt and implement a postsecondary and career expectations framework; sets forth requirements concerning the framework. Provides that a school district that enrolls students in any of grades 9 through 12 shall become an eligible school district and award College and Career Pathway Endorsements pursuant to the Postsecondary and Workforce Readiness Act and pursuant to a specified schedule. Allows a school board of a school district to opt out of implementation of all or any part of these provisions through a finding that the board has in place alternative systems for college and career readiness and that such systems are more likely to successfully prepare students for college and career expectations. Authorizes the State Board of Education to adopt rules. Amends the Postsecondary and Workforce Readiness Act. Requires the State Board of Education, Illinois Community College Board, Board of Higher Education, and Illinois Student Assistance Commission to, by July 1, 2023 and in consultation with appropriate stakeholders, jointly adopt and publicize an update to the model postsecondary and career expectations that extends the expectations to grade 6 and includes such other revisions and updates as the agencies deem appropriate. Effective immediately. House Floor Amendment No. 3 Replaces everything after the enacting clause. Reinserts the provisions of the bill as amended by House Amendment No. 2 with the following changes. Provides that by July 1, 2024 (rather than July 1, 2025) a school district that enrolls students in any of grades 6 through 12 shall adopt and commence implementation of career exploration and career development activities in accordance with (rather than shall adopt and implement) a postsecondary and career expectations framework for each of grades 6 through 12 served by the district that substantially aligns to the model framework adopted by State agencies. Makes conforming changes. Provides that the career exploration and career development activities offered in alignment with the postsecondary and career expectations framework shall prepare students enrolled in grades 6 through 12 to make informed plans and decisions about their future education and career goals, including possible participation in a career and technical education pathway, by providing students with opportunities to explore a wide variety of high-skill, high-wage, and in-demand career fields. Allows a school board of a school district to opt out of implementation if the board adopts a specified set of findings (rather than through a finding that the board has in place alternative systems for college and career readiness and that such systems are more likely to successfully prepare students for college and career expectation). Removes the immediate effective date. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes. Specifies that by July 1, 2025, a school district that enrolls students in any of grades 9 through 12 shall either elect to implement College and Career Pathway Endorsements or opt out of implementation. Provides that a school district may elect to implement College and Career Pathway Endorsements either by submitting the necessary application materials to the State Board of Education or by the school board of the district adopting a timeline for implementation. Adds to the enumerated findings that a school board of a school district must adopt in order to opt out of implementation the willingness of institutions of higher education to partner with the school district for successful implementation of the pathway and whether the district has sought and established a partnership agreement with a community college district incorporating the provisions of the Model Partnership Agreement under the Dual Credit Quality Act. Provides that a school district electing to opt out of implementation may reverse its decision in whole or in part at any time. Requires the State Board of Education to publish and maintain on its website an inventory of resources available to support school districts in implementing College and Career Pathway Endorsements. Makes other changes.

Amends the Criminal Identification Act. Provides that notwithstanding a positive test for the presence of cannabis within the petitioner's body from a drug test taken within 30 days before the filing of the petition for expungement or sealing or the failure of the petitioner to take such test, the petitioner may petition for the sealing or expungement of his or her felony records for a violation of the Illinois Controlled Substances Act, the Methamphetamine Control and Community Protection Act, or the Cannabis Control Act or felony records of a qualified probation for a felony drug offense. Defines "cannabis" and "felony drug offense". House Floor Amendment No. 1 Replaces everything after the enacting clause. Amends the Criminal Identification Act. Provides that, notwithstanding any other provision of law, the court shall not deny a petition for expungement or sealing because the petitioner has submitted a drug test taken within 30 days before the filing of the petition for expungement or sealing that indicates a positive test for the presence of cannabis within the petitioner's body. Defines "cannabis".

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that in order to maximize the accessibility of preventive prenatal and perinatal health care services, the Department of Healthcare and Family Services shall amend its managed care contracts such that an managed care organization must pay for preventive prenatal and perinatal healthcare services rendered by a non-affiliated provider, for which the health plan would pay if rendered by an affiliated provider, at the same rate the Department would pay for such services exclusive of disproportionate share payments and Medicaid percentage adjustments, unless a different rate was agreed upon by the health plan and the non-affiliated provider. Effective January 1, 2023. House Committee Amendment No. 2 Adds reference to: 210 ILCS 170/5 210 ILCS 170/25 Replaces everything after the enacting clause. Reinserts the provisions of the bill as amended by Senate Amendment No. 1 with the following changes. Amends the Birth Center Licensing Act. Provides that a licensed certified professional midwife may attend or be delegated to attend to each person in labor from the time of admission through birth and throughout the immediate postpartum period. Defines "licensed certified professional midwife". Makes a conforming change. Effective January 1, 2023. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Reinserts the provisions of the engrossed bill with the following changes: Further amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a managed care organization must pay for preventative prenatal services, perinatal healthcare services, and postpartum services rendered by a non-affiliated provider, for which the health plan would pay if rendered by an affiliated provider, at the rate paid (rather than at no less than the rate paid) under the Illinois Medicaid fee-for-service program methodology for such services. Provides that, in cases where a managed care organization must pay for preventive prenatal services, perinatal healthcare services, and postpartum services rendered by a non-affiliated provider, the payment rate requirements under the amendatory Act shall not apply if the services were not emergency services, as defined in a specified provision of the Code, and: (1) the non-affiliated provider is a perinatal hospital and has, within the 12 months preceding the date of service, rejected a contract that was offered in good faith by the health plan as determined by the Department of Healthcare and Family Services; or (2) the health plan has terminated a contract with the non-affiliated provider for cause, and the Department has not deemed the termination to have been without merit. Provides that the Department may deem that a determination for cause has merit if: (i) an institutional provider has repeatedly failed to conduct discharge planning; or (ii) the provider's conduct adversely and substantially impacts the health of Medicaid patients; or (iii) the provider's conduct constitutes fraud, waste, or abuse; or (iv) the provider's conduct violates the code of ethics governing his or her profession. Effective January 1, 2023.